Coding Compliance Manager: Lead Audits & Policy

Texas Health Resources, Inc.; Arlington (TX); Hybrid; USD 110,000 - 150,000; Full time

Job summary

Texas Health Resources, Inc. seeks a Manager Compliance Coding to oversee auditing and monitoring of billing and coding compliance within a large health system.

You will develop policies, procedures, and risk-based educational materials to ensure adherence to federal and state regulations, THR policies, and payer guidelines. You will lead the coding audit team, collaborate with providers and leadership, and drive corrective actions while ensuring clear communication of audit findings to

Qualifications

• Bachelor's Degree required.
• Experience leading coding/auditing in a healthcare system preferred.
• Strong knowledge of CMS/Medicaid, payer guidelines, and regulatory requirements.

Responsibilities

• Oversee auditing and monitoring of billing and coding compliance.
• Develop policies, procedures, and educational materials.
• Lead and mentor the coding audit team; manage vendor performance.
• Communicate audit findings to executive leadership and stakeholders.
• Provide guidance on coding, documentation standards, and regulatory guidance.

Skills

Leadership

Auditing

Regulatory knowledge

Data analysis

Communication

Education

Bachelor's Degree

Tools

ICD-10-CM/PCS

CPT/HCPCS

DRG/APC knowledge

Job description

Texas Health Resources, Inc. seeks a Manager Compliance Coding to oversee auditing and monitoring of billing and coding compliance within a large health system.

You will develop policies, procedures, and risk-based educational materials to ensure adherence to federal and state regulations, THR policies, and payer guidelines. You will lead the coding audit team, collaborate with providers and leadership, and drive corrective actions while ensuring clear communication of audit findings to